ATI Skills HIPPA

ATI Skills HIPPA 1. A parent calls a pediatrician’s office to make an appointment for her school-age child. The nurse should instruct the parent to call the previous pediatrician’s office and request that: a form authorizing release of copies of the records be sent to her to sign and return. A written authorization by the responsible party, in this case the parent, must be provided to the previous pediatrician’s office prior to making copies of the health care records available to the new pediatrician. 2. A patient feels his privacy has been violated and wants to file a formal complaint. Through which of the following agencies should the nurse instruct the patient to file the complaint? Office of Civil Rights (OCR) The OCR has been given the authority to receive and investigate complaints by patients and other involved individuals related to the Privacy Rule. 3. A patient is brought to the Emergency Department after a motor-vehicle crash. She is unresponsive due to a head injury. Permission for emergency surgical stabilization of a cervical injury was obtained over the phone from her husband, who is currently overseas. Which of the following should the assigned nurse document to verify HIPAA guidelines were maintained? Document the patient’s condition and that consent was obtained after the primary care provider discussed the proposed surgery with the husband. Since the patient is not cognitively or physically able to provide consent, it is within HIPAA guidelines to discuss the patient’s condition with a spouse or close relative or friend. Consent can be obtained from this individual in this emergency situation because it is deemed in the best interest of the patient. 4. A nurse is orientating to his new place of employment. Information is being provided regarding HIPAA’s Privacy Rule. Which of the following comments by nurse indicates an accurate understanding of these standards? I can give information about a patient over the phone if the patient gives his permission. Information about a patient may be given over the phone if the patient has granted permission for that person to receive information. Many institutions have instituted an access code system that requires the person asking for information to provide the code. 5. Which of the following methods of information exchange is in compliance with HIPAA? Walking rounds that involve two nurses discussing an assigned patient at his bedside in a private room. This practice is acceptable if the two nurses are both assigned to this patient and no one else is in the room. It is within the patient’s rights to hear information about his care and treatment. 6. Which of the following actions is appropriate for the nurse who has witnessed a breach of a patient’s privacy in a primary care provider’s office? Complete a health information privacy complaint form and submit to the appropriate agency. It is the nurse’s responsibility to submit complaints to the proper agency with regard to a breach of patient privacy. 7. A nurse passing by a computer at the nurse’s station notes that patient information is currently being displayed. Which of the following actions should the nurse take? Locate the nurse responsible for the information and have that person log off. It is the responsibility of the person documenting to protect information that others could access. 8. Nurses on a clinical unit wish to research the incidence of falls among patients following joint replacement surgery. Which of the following should they do to ensure the study complies with the HIPAA Privacy Rules? Submit their proposal to the institutional review board for review and describe how they will de-identify patient information. Research using patient records can be done if patient information is de-identified. It is the responsibility of institutional review boards to determine if a study meets the criteria.